Biopsy of penis 54100 at CHRISTUS Good Shepherd Medical Center - Longview
700 E Marshall Ave, Longview, TX · Christushealth · · NPI 1124092036
not published by hospital
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
not published by hospital
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$276.72 with United Healthcare vs $5,696.29 with Blue Cross Blue Shield Of Texas — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| United Healthcare | Star Kids KM | $276.72 | — |
| United Healthcare | Star KM | $276.72 | — |
| Amerigroup | Star KM | $486.45 | — |
| Superior | Star Kids KM | $486.45 | — |
| Superior | Chip KM | $486.45 | — |
| Superior | Star KM | $486.45 | — |
| Molina | Chip KM | $510.77 | — |
| Molina | Healthspring Star Plus KM | $510.77 | — |
| Molina | Star Plus KM | $510.77 | — |
| Texas Childrens Health Plan | Star Plus KM | $510.77 | — |
| Cigna | New Business | $1,072.00 | — |
| Healthcare Highways | PPO | $1,125.00 | — |
| Blue Cross Blue Shield Of Texas | Blue Advantage HMO | $1,427.50 | — |
| Humana | MM | $1,469.96 | — |
| Wellcare | MM | $1,547.33 | — |
| Christus Health | Med Adv MM | $1,547.33 | — |
| Washington National | Supp MM | $1,547.33 | — |
| Aetna | MM | $1,547.33 | — |
| Triwest | VA CCN MM | $1,547.33 | — |
| Blue Cross TX | MM | $1,547.33 | — |
| Cigna | Healthspring Medicare Advantage MM | $1,547.33 | — |
| Triwest | VA MM | $1,547.33 | — |
| Allwell | Superior Medicare Advantage | $1,547.33 | — |
| United Healthcare | MM | $1,578.28 | — |
| Provider Partners Health Plan | MM | $1,593.75 | — |
| Shared Health Insurance Company | MM | $1,624.70 | — |
| Amerigroup | MM | $1,671.12 | — |
| Imperial Health Plan | MM | $1,702.06 | — |
| ProCare Advantage | MM | $1,702.06 | — |
| American Health Medicare | Advantage MM | $1,702.06 | — |
| Blue Cross Blue Shield Of Texas | HEB | $1,949.09 | — |
| United Healthcare | HIX | $2,103.00 | — |
| Cigna | PPO | $2,137.00 | — |
| Christus Health | HIX | $2,166.26 | — |
| Naphcare Inc. | RRMB | $3,094.66 | — |
| Blue Cross Blue Shield Of Texas | HMO | $3,994.27 | — |
| Blue Cross Blue Shield Of Texas | PPO | $4,666.84 | — |
| United Healthcare | All Payer | $4,757.00 | — |
| Blue Cross Blue Shield Of Texas | Traditional | $5,696.29 | — |
| Aetna | All Plans | not published by hospital | — |
| HealthSmart | Preferred | not published by hospital | — |
| Phcs | PPO | not published by hospital | — |
| Humana | Choicecare | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy of penis 54100 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,742.53 | $71.00 – $4,113.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,670.23 | $71.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,742.53 | $85.00 – $4,113.80 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,742.53 | $486.45 – $4,113.80 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,670.23 | $71.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $2,742.53 | $71.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $2,742.53 | $71.00 – $4,113.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $2,670.23 | $71.00 – $4,016.35 |